Biogenomic Medicine Institute, PLLC

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1770975096

Biogenomic Medicine Institute, PLLC is an Addiction Medicine (Psychiatry & Neurology) Physician in Ashburn, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in: VA
In the registry since: 2015
Specialties on file: 2

What do these letters mean?

PLLC — Professional limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

45189 Research Pl Ste 150
Ashburn, VA 20147
Phone: (703) 894-2224
Fax: (703) 997-2566

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary)	Taxonomy 2084A0401X · Licence MD036385 (VA)
Addiction Psychiatry Physician	Taxonomy 2084P0802X · Licence MD036385 (VA)

Record details

NPI number	1770975096
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Nameer Haider — President · (703) 787-7638
NPI enumerated	February 24, 2015
Last updated in NPPES	February 24, 2015
Mailing address	45189 Research Place, Suite 150, Ashburn, VA 20147